Teen/Young Adult Retreat Day at Guppy Gulch

Once a slate quarry, this 15-acre freshwater reservoir now offers thrilling activities for all ages! Dive into the fun with inflatable slides, climbing walls, a zipline, a rodeo pier, paddleboards, and jungle gyms. Guppy Gulch promises an exhilarating experience for both kids and adults alike. Don't miss this incredible opportunity to challenge yourself and have a blast! To learn more about Guppy Gulch and to RSVP, please visit: https://www.guppygulchcamp.com/info

I hereby declare that all the information provided in my application to the Hemophilia Foundation of Maryland is true, accurate, and complete to the best of my knowledge. I understand that any false statements, misrepresentations, or omissions may result in the rejection of my application. I authorize the Hemophilia Foundation of Maryland to contact the medical provider named in my application to verify the diagnosis of my bleeding disorder. I understand that this information will only be used for the purpose of verifying my eligibility. I have read and understand the terms of this waiver and release of information.

Enter the date and your full name to acknowledge your electronic signature of this document. By initialing and/or signing this document, you are waiving certain legal rights, including the right to sue.The undersigned wishes to participate in the Hemophilia Foundation of Maryland's Teen/Young Adult Retreat on Saturday, August 24th, 2024, at their own risk. Despite the risks of this activity, and with full understanding of such risks, I wish to participate in the HFM Teen/Young Adult Retreat and hereby assume the risks. I hereby hold the Hemophilia Foundation of Maryland, its employees, volunteers, and board members harmless and indemnify them against any and all claims, actions, suits, procedures, costs, expenses (including attorney’s fees and expenses), damages, and liabilities arising out of, connected with, or resulting from participating in the HFM Teen/Young Adult Retreat. This includes, without limitation, those resulting from the manufacture, selection, delivery, possession, use, or operation of such equipment.I understand that it is recommended that I have accidental medical coverage and agree that if I do not have such coverage, I will be financially responsible for any and all charges and fees incurred in the rendering of said treatment. In case of injury, I authorize the Hemophilia Foundation of Maryland staff and volunteers to render first aid and to act on my behalf in case of an emergency. I also waive and release the Hemophilia Foundation of Maryland, its staff, and volunteers from any and all liability for any injuries and illnesses that occur while participating in the Teen/Young Adult Retreat Day.I agree to obey the Safety Instructions and Rules and to use the equipment responsibly to avoid injuring myself or others. I understand that my right to participate in the Teen/Young Adult Retreat Day may be terminated if I fail to follow such Safety Instructions and Rules. On behalf of myself and/or my minor child, my estate, heirs, executors, administrators, and assigns, I do hereby indemnify the Hemophilia Foundation of Maryland and its respective staff, board members, and volunteers from any and all claims, actions, lawsuits, procedures, costs, expenses, damages, and/or liabilities whatsoever connected with or resulting from participating in the HFM Teen/Young Adult Retreat Day or spectating, and from the use of equipment or premises, whether resulting from the negligence of any party or otherwise. I further agree to indemnify these parties against any and all liabilities that may arise between myself and a third party.I have read and fully understand this Full General Release of Liability, Waiver of Claims, Assumption of Risks, and Indemnity Agreement and recognize that it is a legally binding contract. If I have any doubts concerning any aspect of its content, I will not participate until I obtain legal advice. I certify that I am at least 18 years of age (Minors see below) and in good health. I further intend to be bound by this agreement. This Full General Release of Liability, Waiver of Claims, Assumption of Risks, and Indemnity Agreement shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law. I CERTIFY THAT I HAVE READ THIS DOCUMENT AND FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND I SIGN IT OF MY OWN FREE WILL. WHEN REGISTERING ONLINE, MY ONLINE SIGNATURE SHALL SUBSTITUTE FOR AND HAVE THE SAME LEGAL EFFECT AS IF I HAD SIGNED A WAIVER AND RELEASE AGREEMENT.